EP0885002B1 - Materials and methods for enhancing cellular internalization - Google Patents

Materials and methods for enhancing cellular internalization Download PDF

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EP0885002B1
EP0885002B1 EP97908818A EP97908818A EP0885002B1 EP 0885002 B1 EP0885002 B1 EP 0885002B1 EP 97908818 A EP97908818 A EP 97908818A EP 97908818 A EP97908818 A EP 97908818A EP 0885002 B1 EP0885002 B1 EP 0885002B1
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cell
composition
membrane
viscosity
cells
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EP0885002A2 (en
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David A. Edwards
Daniel R. Deaver
Robert S. Langer
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Penn State Research Foundation
Massachusetts Institute of Technology
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Massachusetts Institute of Technology
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/0043—Nose
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/38—Cellulose; Derivatives thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/0034—Urogenital system, e.g. vagina, uterus, cervix, penis, scrotum, urethra, bladder; Personal lubricants
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
    • A61K47/10—Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S436/00—Chemistry: analytical and immunological testing
    • Y10S436/829—Liposomes, e.g. encapsulation

Definitions

  • compositions and methods of use described herein are in the area of materials and methods for enhancing cellular internalization.
  • Proteins and peptides are typically administered by parenteral administration, or, in some cases, across the nasal mucous membrane. Uptake of drugs administered topically is frequently poor, and degradation frequently occurs when drugs are administered orally.
  • hormones such as gonadotropin releasing hormone (“GnRH”) and its analogs have been administered to humans in an attempt to increase fertility by increasing systemic levels of luteinizing hormone (“LH”). When given often, low doses of native GnRH have been shown to induce follicular development and ovulation.
  • GnRH gonadotropin releasing hormone
  • LH luteinizing hormone
  • These drugs are typically administered via an indwelling catheter into the abdominal cavity. An external pump is attached to the catheter which injects the peptide at frequent intervals. This method of administration is extremely invasive and undesirable. Also, the method is prohibitively expensive for use in animals.
  • binding of ligands or assembly proteins to surface receptors of eucaryotic cell membranes has been extensively studied in an effort to develop better ways to promote or enhance cellular uptake.
  • binding of ligands or proteins has been reported to initiate or accompany a cascade of nonequilibrium phenomena culminating in the cellular invagination of membrane complexes within clathrin-coated vesicles [ Goldstein, J.L., et al. (1983) Ann. Rev. Cell Biol. 1, 1-39 ; Rodman, T.S., et al. (1990) Curr. Op. Cell Biol. 2, 664-672 ; Trowbridge, I.S. (1991) Curr. Op. Cell Biol.
  • RME receptor-mediated endocytosis
  • compositions and methods for improving cellular internalization of GnRH and its analogs are disclosed.
  • the compositions include a compound to be delivered and a biocompatible viscous hydrogel.
  • endocytosis including nonspecific "pinocytosis” and specific receptor mediated endocytosis ("RME”)
  • RME receptor mediated endocytosis
  • the rate of endocytic internalization is increased when the ratio of the apparent viscosities of cytosolic and extracellular media approaches unity. This leads to high transport rates of compounds to be delivered across cell membranes, facilitating more efficient delivery of drugs and diagnostic agents.
  • compositions are applied to cell membranes to achieve high rates of drug transport across those membranes, relative to when non-viscous fluids are used.
  • Methods for administering the compositions include application topically or by injection.
  • Compositions can be applied topically orally, nasally, vaginally, rectally and ocularly.
  • Compositions can be applied by injection via catheter, intramuscularly, subcutaneously, or intraperitoneally.
  • Compositions can also be administered to the pulmonary or respiratory system, most preferably in an aerosol.
  • Transferrin is a model polypeptide.
  • the transferrin-containing compositions are not in themselves embodiments of the claimed invention.
  • compositions and methods for intracellular delivery of compounds in a viscous solution enhancing uptake are described.
  • Cellular internalization is enhanced by increasing the rate of endocytosis, particularly receptor-mediated endocytosis, by controlling the viscosity of the solution.
  • the compositions include GnRH or an analogue thereof and a fluid with an apparent viscosity approximately equal to the apparent viscosity of the cytosolic fluid in the cell to which the composition is administered.
  • GnRH and its analogues interact with receptors on the surface of the cell to which it is to be delivered.
  • RME receptor-mediated endocytosis
  • Membrane tension the free energy of the membrane per unit surface area.
  • Membrane tension is generally uniform and positive at an equilibrium membrane and can be measured by routine micropipet experiments. Most reported membrane tension values have been gathered for red blood cells, and range from 4 dyne/cm to 0.01 dyne/cm. By contrast, the interfacial tension of an air/water interface is 73 dyne/cm.
  • Membrane tension can vary from point to point on the membrane surface as a consequence of various stimuli, such as nonuniform heating of the membrane, membrane chemical reactions and membrane compositional changes. These variations can give rise to membrane and bulk-fluid motion, termed Marangoni convection. This motion is characterized for the most part by cytosolic and extracellular (apparent) viscosities.
  • Exothermic reactions can occur on the cell membrane, due to ligand-receptor binding, adaptor-membrane binding, clathrin-membrane binding, a combination of these binding reactions, and other membrane reactions.
  • the exothermic reactions cause the membrane tension (energy per membrane area), at least momentarily, to be diminished at the point where the reaction occurred.
  • the membrane tension is lowered, the configurational and intermolecular potential energies of membrane-bound molecular complexes are also lowered.
  • the cell membrane tension is spatially nonuniform as a consequence of the exothermic reactions (i.e., membrane complex formation), resulting in membrane motion. This motion will possess a substantial component toward the cell cytosol so long as the cytosolic viscosity exceeds that of the extracellular fluid.
  • the rate of endocytosis can be increased by adjusting the viscosity of the extracellular fluid so that it is approximately the same as that of the cytosolic fluid. If the viscosity of the extracellular fluid is appreciably higher or lower than that of the cytosolic fluid, the rate of endocytosis decreases. This was shown experimentally in Example 1 and Figure 3 , in which the ratio of compounds that were internalized to those remaining on the surface (In/Sur) increased as.the viscosity of the extracellular fluid increased, to a point at which the viscosity approached that of the cytosolic fluid. Above that value, the ratio decreased.
  • Clustering of membrane complexes is favorable for rapid internalization.
  • the rate of internalization can be increased in proportion to the magnitude of binding energy. This is due, in part, to the specificity of receptors to particular ligands and/or adaptor proteins.
  • Clustering of complexes occurs in the vicinity of pits to which clathrin triskelions absorb from the cytosolic side of the cell membrane and subsequently polymerize to form a clathrin coat. Some clustering has also been observed in the vicinity of caveolae, or non-clathrin-coated pits. The membrane-tension depression occurring within the vicinity of an evolving pit, originating in the process of membrane complexation, is directly proportional to the number of membrane complexes formed within that pit. In general, clustered complexes have been found to internalize substances more rapidly than nonclustered complexes.
  • the rate of internalization can be increased by a) adjusting the viscosity of the extracellular fluid to approximate that of the cytosolic fluid; b) forming complexes of the material to be internalized; and c) reducing membrane tension.
  • Suitable viscous fluids for use in intracellularly administering compounds in accordance with the invention include biocompatible hydrogels.
  • a hydrogel is defined as a substance formed when an organic polymer (natural or synthetic) is cross-linked via covalent, ionic, or hydrogen bonds to create a three-dimensional open-lattice structure which entraps water molecules to form a gel.
  • materials which can be used to form a hydrogel include polysaccharides, proteins and synthetic polymers.
  • polysaccharides include celluloses such as methyl cellulose, dextrans, and alginate.
  • proteins include gelatin and hyaluronic acid.
  • synthetic polymers include both biodegradeable and non-degradeable polymers (although biodegradeable polymers are preferred), such as polyvinyl alcohol, polyacrylamide, polyphosphazines, polyacrylates.
  • polyethylene oxide, and polyalkylene oxide block copolymers (“poloxamersTM”) such as PluronicsTM or TetronicsTM (polyethylene oxide-polypropylene glycol block copolymers).
  • these polymers are at least partially soluble in aqueous solutions, such as water, buffered salt solutions, or aqueous alcohol solutions.
  • aqueous solutions such as water, buffered salt solutions, or aqueous alcohol solutions.
  • these have charged side groups, or a monovalent ionic salt thereof.
  • polymers with acidic side groups that can be reacted with cations are polyphosphazenes, polyacrylic acids, poly(meth)acrylic acids, polyvinyl acetate, and sulfonated polymers, such as sulfonated polystyrene.
  • Copolymers having acidic side groups formed by reaction of acrylic or methacrylic acid and vinyl ether monomers or polymers can also be used.
  • acidic groups are carboxylic acid groups, sulfonic acid groups, halogenated (preferably fluorinated) alcohol groups, phenolic OH groups, and acidic OH groups.
  • the ammonium or quaternary salt of the polymers can also be formed from the backbone nitrogens or pendant imino groups.
  • basic side groups are amino and imino groups.
  • Alginate can be ionically cross-linked with divalent cations, in water, at room temperature, to form a hydrogel matrix.
  • An aqueous solution containing the agent to be delivered can be suspended in a solution of a water soluble polymer, and the suspension can be formed into droplets which are configured into discrete microcapsules by contact with multivalent cations.
  • the surface of the microcapsules can be crosslinked with polyamino acids to form a semipermeable membrane around the encapsulated materials.
  • the polyphosphazenes suitable for cross-linking have a majority of side chain groups which are acidic and capable of forming salt bridges with di- or trivalent cations.
  • preferred acidic side groups are carboxylic acid groups and sulfonic acid groups.
  • Hydrolytically stable polyphosphazenes are formed of monomers having carboxylic acid side groups that are crosslinked by divalent or trivalent cations such as Ca 2+ or Al 3+ . Polymers can be synthesized that degrade by hydrolysis by incorporating monomers having imidazole, amino acid ester, or glycerol side groups.
  • PCPP polyanionic poly[bis(carboxylatophenoxy)]phosphazene
  • Preferred hydrogels include aqueous-filled polymer networks composed of celluloses such as methyl cellulose, dextrans, agarose, polyvinyl alcohol, hyaluronic acid, polyacrylamide, polyethylene oxide and polyoxyalkylene polymers ("poloxamers°), especially polyethylene oxide-polypropylene glycol block copolymers, as described in U.S. Patent No. 4,810,503 .
  • celluloses such as methyl cellulose, dextrans, agarose, polyvinyl alcohol, hyaluronic acid, polyacrylamide, polyethylene oxide and polyoxyalkylene polymers ("poloxamers°), especially polyethylene oxide-polypropylene glycol block copolymers, as described in U.S. Patent No. 4,810,503 .
  • poloxamers are commercially available from BASF and from Wyandotte Chemical Corporation as "Pluronics”. They are available in average molecular weights of from about 1100 to about 15,500.
  • the apparent viscosity of the extracellular fluid must be approximately equal to the viscosity of the cytosolic fluid in the cell to which the compounds are to be administered.
  • the apparent viscosity is 10-200 Poise (1 to 20 Pa.s).
  • One of skill in the art can readily determine or arrive at a reasonable estimate of the viscosity of the cytosolic fluid using a viscometer and measuring the applied stress divided by measured strain rate at the applied stress that corresponds to the stress the cell membrane imparts upon the cytosolic and extracellular fluids during endocytosis. Methods for measuring the cytosolic viscosity include micropipette methods ( Evans and Young, Biophys.
  • Typical cytosol viscosities range from approximately 50-200 Poise. Once this value is measured, the viscosity of the composition can be adjusted to be 10-200 Poise, when measured using a controlled stress rheometer at 37°C using a Cone-and-plate geometry, at the applied stress that corresponds to the stress the cell membrane imparts upon the cytosolic and extracellular fluids during endocytosis (i.e 1 to 100 Pa).
  • the viscosity can be controlled via any suitable method known to those of skill in the art.
  • the method for obtaining a viscous composition with the desired apparent viscosity is not particularly limited since it is the value of the apparent viscosity relative to the target cells which is critical.
  • the apparent viscosity can be controlled by adjusting the solvent (i.e., water) content, types of materials, ionic strength, pH, temperature, polymer or polysaccharide chemistry performed on the materials, and/or external electric, ultrasound, or magnetic fields, among other parameters.
  • the apparent viscosity of the compositions is controlled such that it lies in the range of between 10 and 200 Poise, preferably between 50 and 200 Poise.
  • the apparent viscosity is measured by a standard rheometer using an applied stress range of between 1 and 100 Pascals
  • composition can be administered as an only slightly viscous formulation that becomes more viscous in response to a condition in the body, such as body temperature or a physiological stimulus, like calcium ions or pH, or in response to an externally applied condition, such as ultrasound or electric or magnetic fields.
  • a condition in the body such as body temperature or a physiological stimulus, like calcium ions or pH
  • an externally applied condition such as ultrasound or electric or magnetic fields.
  • An example is a temperature sensitive poloxamer which increases in viscosity at body temperature.
  • Methylcellulose (methocel) solutions in the range of between 1.0 and 2.0% (w/w), polyvinyl alcohol solutions between 5 and 15% and pluronic acid solutions between 15 and 20%
  • compositions can be applied topically to the vagina, rectum, nose, eye, ear, mouth and the respiratory or pulmonary system, or systemically to other types of cells, i.e., by intramuscular, subcutaneous, and intraperitoneal delivery.
  • the compositions are applied directly to the epithelial cell to which the compound is to be delivered.
  • compositions are particularly advantageous for hormone therapy.
  • the compositions can be used to treat a variety of human hormone-based disorders.
  • Examples 2 and 3 demonstrate the efficacy of the compositions to increase LH levels when a composition including leuprolide was applied to the vaginal or nasal membranes.
  • the dosage will be expected to vary depending on several factors, including the patient, the particular bioactive compound to be delivered, and the nature of the condition to be treated, among other factors.
  • One of skill in the art can readily determine an effective amount of the bioactive compound or compounds to administer to a patient in need thereof.
  • compositions are administered to cells to enhance the rate of drug transport across the cell membranes, relative to the rate of delivery when non-viscous fluids are used.
  • methods of administration include oral administration, as in a liquid formulation or within solid foods, topical administration to the skin or the surface of the eye, intravaginal administration, rectal administration, intranasal administration, administration via inhalation, administration via a catheter, and administration via intraperitoneal, intramuscular, or subcutaneous injection.
  • composition When the composition is administered orally or by inhalation, it is preferred that it is administered as a dry powder that includes a swellable hydrogel that is designed to swell to an appropriate viscosity after delivery to the desired location. After inhalation, for example, the hydrogel absorbs water to obtain the desired viscosity and then delivers agents to the respiratory system.
  • a hydrogel When administered orally, a hydrogel can be selected that does not absorb water under conditions present in the upper gastrointestinal tract, but which does absorb water under conditions present in the lower gastrointestinal tract (i.e., at a pH greater than about 6.5). Such hydrogels are well known to those of skill in the art. The use of such compositions can optimize the delivery of agents to the lower gastrointestinal tract.
  • Suitable methods for lowering membrane tension include including a biocompatible surface active agent in the hydrogel, performing exothermic reactions on the cell surface (i.e., complex formation), and applying an external field to the cell surface.
  • Suitable biocompatible surface active agents include surfactin, trehalose, fatty acids such as palmitin and oleic acid, polyethylene glycol, hexadecanol, and phospholipids such as phosphatidylcholines and phosphatidylglycerols.
  • Suitable complex-forming chemical reactions include the reaction of receptor-binding ligands with cell surface receptors for these ligands, exothermic reactions such as occur between sodium salicylate and salicylic acid, and neutralization reactions as between hydrochloric acid and ammonia ( Edwards et al. 1996 Biophys. J. 71, 1208-1214 ).
  • External fields that can be applied to a cell surface to reduce membrane tension include ultrasound, electric fields, and focused light beams, such as laser beams.
  • the rate of cellular internalization can also be increased by causing the clustering of receptors on the cell membrane. This can be accomplished, for example, by creating zones on the membrane where the membrane tension is relatively high, causing the membrane fluid to flow toward the zone of high membrane tension. This flow can carry receptors localized in the membrane toward each other, causing them to cluster.
  • the criteria for assessing response to therapeutic modalities employing an identified compound are dictated by the specific condition and will generally follow standard medical practices. Such an assessment can be made by determining if there is a desired effect, such as expression of a nucleotide molecule. production of a protein, or a consequent physiological effect. Where the administered compound is known or suspected to involve the function or expression of another molecule involved in a disease condition, the effectiveness of administration of the compound can be assessed by measuring changes in characteristics of the disease condition.
  • Example 1 Viscous Hydrogels with Optimum Viscosity for Cellular Internalization
  • Human erythroleukemia K562 cells were grown in RPMI-1640 medium supplemented with 50 units/mL penicillin, 0.05 mg/mL streptomycin, 2 mM L-glutamine, and 10% fetal bovine serum.
  • Chinese hamster ovary (CHO) cells transfected with human transferrin receptor a generous gift from Dr. Timothy McGraw (Columbia University, New York, NY), were grown in McCoy's 5A medium supplemented with 50 units/mL penicillin, 0.05 mg/mL streptonigrin, 2 mM L-Glutamine, and 5 % fetal bovine serum.
  • Methyl cellulose solutions were made in buffer with the dispersion technique formulated by Dow Chemical Co. to achieve a final concentration of 0.0 to 1.8%. Briefly, after one third volume of the buffer was heated to 90°C, methyl cellulose powder was added to the liquid and agitated until the particles were thoroughly wetted and evenly dispersed. The remainder of the buffer was then added to the methyl cellulose at 4°C. Agitation was maintained at 4°C for another 20 minutes. One day before the experiments, 125 I labeled transferrin (0.03 ⁇ Ci/mL) and nonlabeled transferrin (50 nM) were added to each concentration of methyl cellulose solution and thoroughly mixed.
  • Steady-state ratios of total internalized transferrin to surface-bound transferrin were determined as follows: At 4°C, 2 x 10 6 cells were resuspended in 1 mL methyl cellulose solution (concentration ranging from 0.0 to 1.8%) containing radiolabeled and nonlabeled transferrin. A pasteur pipette was used to gently mix the cells and the methyl cellulose solution. Immediately after warming in a 37°C water bath for 5 minutes, the samples were transferred to a 37°C thermal hood, where slow rotation of the samples was maintained.
  • the pellets were incubated with 0.5 mL of trypsin solution (25 mM Hepes, 150 mM NaCl with 1mg/mL bovine trypsin, pH 7.4) at 4°C. The supernatants and the pellets were separated by centrifuging at 3000 g at 4°C for 15 minutes. 2 mL of HBSS was used to wash the pellets. The final pellets were counted in a gamma counter to give the In value, while the supernatants from each washing were combined to give the Sur value.
  • trypsin solution 25 mM Hepes, 150 mM NaCl with 1mg/mL bovine trypsin, pH 7.4
  • the viscosity of extracellular fluids influences the net endocytosis rate.
  • Control of the extracellular viscosity affects the steady-state internalization of Tf receptor (bound to 125 I-Tf) in K562 cells, a human erythroleukemia cell line that has been commonly employed in Tf-mediated endocytosis studies [ Schonhorn. J.E. and Wessling-Resnick, M. (1994) Molecular and Cellular Biochem. 135, 159-169 ], and can also affect Tf-mediated endocytosis in CHO (Chinese hamster ovary) cells transfected with human transferrin receptor [ McGraw, T.E., Greenfield, L. and Maxfield, F.R. (1987) J. Cell Biol. 105, 207-214 ]. These latter cells do not express functional endogenous hamster transferrin receptor, and provide a unique cell line to which results obtained with the K562 cells can be compared.
  • K562 cells were suspended in aqueous buffer medium containing between 0.0% to 1.8% methylcellulose (methocel).
  • Rheological measurements ( Figure 1 ) indicate that this methocel concentration range endows the extracellular fluid with an apparent viscosity ranging from that of water to a viscosity exceeding that characteristic of the cell cytosol.
  • the apparent viscosities (defined as measured shear stress over applied strain rate) of the methocels vary greatly depending upon the net force delivered to the cell membrane leading to pit formation. It is possible to show (see caption to Figure 1 ) that the maximum force delivered by a cell on the extracellular fluid by invaginating pits ranges from approximately 1 to 10 Pa, depending upon whether clustering of receptors has occurred.
  • Figure 2 shows K562 steady-state internalization values of 125 I-Tf as a function of methocel concentration.
  • the endocytosis rate increases with increasing methocel concentration from 1.25 % to 1.7%, beyond which the internalization rate sharply diminishes.
  • the methocel solutions with methocel concentration greater than 1.25 % possess an apparent viscosity near to, and potentially exceeding, that of the cell cytosol ( Figure 1 ), at least in the range of shear stresses relevant to RME.
  • increasing methocel concentration leads to an increase in the viscosity of the extracellular fluid (at fixed applied stress). This means that the difference between the intracellular and extracellular viscosity decreases as the methocel concentration is increased beyond 1.25%.
  • Example 2 Viscous Hydrogels with Optimum Viscosity for Vaginal Delivery of Leuprolide to Sheep
  • the concentrations of the hydrogel were selected as 1.5 % and 1.75 % since, as can be seen from Figure 1 , the apparent viscosity of the methocels is in the range of between 2 and 200 or more Poise in the applied stress range of between 1 and 100 Pascals.
  • Leuprolide was mixed in the hydrogels at a concentration of 20 ⁇ g/ml. Sheep were treated with a total of 100 ⁇ g leuprolide. Each treatment caused a significant increase in LH, as shown in Figure 4 .
  • a GnRH analog was intranasally administered to sheep using a highly viscous solution to demonstrate the generality of the compositions and methods presented herein for delivering macromolecules across mammalian epithelial barriers.
  • a blueline umbilical cannula was inserted in the nostril of the sheep to a preset depth of 10 cm before delivery of a 1.5 % methocel solution (5 mL solution, containing 100 ⁇ g GnRH analog) from a syringe.
  • the serum concentration of LH was monitored as a function of time following administration. The results of this study are shown in Figure 6 .
  • a therapeutically effective serum concentration of LH was obtained, which is comparable to that obtained via injection, reflecting the ability of the compositions and methods described herein to enhance transcellular transport of a GnRH analog.
  • the serum concentration of LH was virtualy undetectable.
  • vasopressin Unlike leuoprolide, vasopressin (though of similar molecular weight as leuoprolide) does not bind to cell surface receptors of the vaginal epithelium. Accordingly, vasopressin (ADH) was administered intravaginally to sheep to determine whether binding of the compound to be delivered to a receptor had an effect on the intracellular delivery. Effective delivery of vasopressin was measured by determining the systemic cortisol level.

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IT1289608B1 (it) * 1997-02-05 1998-10-15 Angelini Ricerche Spa Composizione per uso terapeutico o diagnostico somministrabile per via intranasale,sublinguale o vaginale
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